Information Collection

800.23 - Self-bonding. (Industry)

IC 187347 under ICR 201202-1029-004 · OMB 1029-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
800.23 - Self-bonding. (Industry)	Form
Application for Self-Bond Application for Self-Bond.pdf www.osmre.gov/forms/Forms.aspx	Form
Self-Bond Agreement Self-Bond Agreement.pdf www.osmre.gov/forms/Forms.aspx	Form
Self-Bond Indemnity Agreement Self-Bond Indemnity Agreement.pdf www.osmre.gov/forms/Forms.aspx	Form
Self-Bond Corporate Guarantee Self-Bond Corporate Guarantee.pdf www.osmre.gov/forms/Forms.aspx	Form

IC Title:

800.23 - Self-bonding. (Industry)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 800.23

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Application for Self-Bond	Application for Self-Bond.pdf	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable
Form	N/A	Self-Bond Agreement	Self-Bond Agreement.pdf	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable
Form	N/A	Self-Bond Indemnity Agreement	Self-Bond Indemnity Agreement.pdf	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable
Form	N/A	Self-Bond Corporate Guarantee	Self-Bond Corporate Guarantee.pdf	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 74

Number of Respondents for Small Entity: 73

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	74	-27	101
Annual IC Time Burden (Hours)	1,191	-435	1,626
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.